Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $120.23 / $125.89	Facility		$79.43	$120.23	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $154.88 / $186.21	Professional		$147.91	$154.88	$186.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $54.95 / $165.96	Facility		$25.70	$54.95	$165.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $223.87	Professional		$25.70	$25.70	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $50.12	Professional		$30.20	$32.36	$50.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $302.00	Professional		$204.17	$245.47	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $63.10 / $229.09	Facility		$25.70	$63.10	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $125.89	Professional		$120.23	$125.89	$125.89